Abstract
Background: Infertility is a global health concern and hysterosalpingography (HSG) is a crucial radiological technique in infertility workup and remains a key modality for examining female infertility. Nonetheless, there are regional variations in the HSG results regarding infertility. From January 2021 to January 2022, a sample population at a territorial care hospital in Khyber Pakhtunkhwa (KPK), Pakistan, was used in this research to assess the efficacy and results of HSG in detecting reproductive difficulties.
Objectives: This study aimed to determine how well hysterosalpingography (HSG) performed as a diagnostic tool for evaluating the health of the uterus and fallopian tubes in a sample of 100 women who presented with infertility.
Methods: This Retrospective Study was carried out in the Department of Obstetrics & Gynecology Mardan Medical Complex, Mardan and conducted on one hundred women who had their fertility evaluated using HSG. Analyses were conducted on demographic data, HSG indications, results, and subsequent fertility treatments.
Results: Of the one hundred women who had HSG, forty per cent had tubal occlusions, and twenty per cent had bilateral occlusions. In 15% of the subjects, uterine anomalies such as fibroids and polyps were found. Peritubal adhesions were seen in 10% of the females. Within six months of having an HSG test, 25% of women with normal results got pregnant. The findings highlight the role that tubal and uterine diseases play in infertility as well as the value of using HSG to guide treatment decisions. These findings underscore the critical need for reliable diagnostic methods in the assessment of fertility and customized treatment regimens for infertile women.
Conclusion: HSG is an important test in fertility research that provides important information about fetal and vascular changes that can guide treatment options. To address the region’s fertility problems effectively, KPK should increase access to these diagnostic services.
Results: Of the one hundred women who had HSG, forty per cent had tubal occlusions, and twenty per cent had bilateral occlusions. In 15% of the subjects, uterine anomalies such as fibroids and polyps were found. Peritubal adhesions were seen in 10% of the females. Within six months of having an HSG test, 25% of women with normal results got pregnant. The findings highlight the role that tubal and uterine diseases play in infertility as well as the value of using HSG to guide treatment decisions. These findings underscore the critical need for reliable diagnostic methods in the assessment of fertility and customized treatment regimens for women who are infertile.
Conclusion: HSG is an important test in fertility research that provides important information about fetal and vascular changes that can guide treatment options. To effectively address the region’s fertility problems, KPK should increase access to these diagnostic services.
References
Abdella RMA. Screening for Chlamydia trachomatis in Egyptian women with unexplained infertility, comparing real-time PCR techniques to standard serology tests: case control study. BMC Womens Health. 2015;15(45).
Aghajanova L, Hoffman J, Mok-Lin E, Herndon CN. Obstetrics and gynecology residency and fertility needs: national survey results. Reproductive sciences. 201;24(3):428-34.
Al-Turki HA. Uterine and tubal abnormalities in infertile Saudi Arabian women: a teaching hospital experience. Saudi J. Med. Med. Sci. 2016;2(4):89–92.
Aziz MU, Anwar S, Mahmood S. Hysterosalpingographic evaluation of primary and secondary infertility. Pakistan journal of medical sciences. 2015;31(5):1188.
Benksim A. Difference between primary and secondary infertility in Morocco: frequencies and associated factors. Int. J. Fertil. Steril. 2018;12(2):142–146.
Bhattarai M, Pokhrel S. Hysterosalpingographic evaluation of uterus and fallopian tubes of infertile women. J. Nobel Medical College. 2017;6(10):63–71.
Bukar M, Mustapha Z, Takai UI, Tahir A. Hysterosalpingographic findings in infertile women: A seven year review. Nigerian journal of clinical practice. 2011;14(2):168-70.
Burks HR, Hansen KR. Oil or water-based contrast for hysterosalpingography? Fertil. Steril. 2020;114(1):75–76.
Chalazonitis A. Hysterosalpingography: Technique and Applications. Curr. Probl. Diagn. Radiol. 2009;38(5):199–205.
Chen L.-S. Hysterosalpingo-contrast-sonography vs. magnetic resonance-hysterosalpingography for diagnosing fallopian tubal patency: A systematic review and meta-analysis. Eur. J. Radiol. 2020;125
Chen S, Du X, Chen Q, Chen S. Combined real-time three-dimensional hysterosalpingo-contrast sonography with B mode hysterosalpingo-contrast sonography in the evaluation of fallopian tube patency in patients undergoing infertility investigations. BioMed research international. 2019;2019.
World Health Organization. Infertility is a global public health issue 2022.
Dyer SJ, Patel M. The economic impact of infertility on women in developing countries – a systematic review. Fertility and Sterility. 2021;115(3):601-611.
Garcia L, Isaacson K. Hysterosalpingography in the evaluation of infertility: A review. International Journal of Women's Health. 2021;13:789-799.
Van Welie N, Van Rijswijk J, Dreyer K, Van Hooff MH, De Bruin JP, Verhoeve HR, Mol F, Van Baal WM, Traas MA, Van Peperstraten AM, Manger AP. Can hysterosalpingo-foam sonography replace hysterosalpingography as first-choice tubal patency test? A randomized non-inferiority trial. Human Reproduction. 2022;37(5):969-79.
Varlas V, Rhazi Y, Cloțea E, Borș RG, Mirică RM, Bacalbașa N. Hysterolaparoscopy: a gold standard for diagnosing and treating infertility and benign uterine pathology. Journal of Clinical Medicine. 2021;10(16):3749.
Majid K, Qadeer Shabir FA. A Descriptive Study on the Use of Laparoscope in Chronic Pelvis Pain. Infertility. 2021;11:33-33.
Ali S, Sophie R. Infertility-related knowledge and attitudes in urban and rural areas of Khyber Pakhtunkhwa, Pakistan: A cross-sectional study. Reproductive Health. 2021;18(1):45.
Ahmed J, Kumar R, Mehraj V, Almarabheh A, Khowaja SA, Khan SA, Naeem N, Pongpanich S. Perceptions of health care workers on maternal and child health services in Pakistan during COVID-19: A cross-sectional study. Dialogues in Health. 2023:100145.
Mascarenhas MN, Flaxman SR, Boerma T, Vanderpoel S, Stevens GA. National, regional, and global trends in infertility prevalence since 1990: a systematic analysis of 277 health surveys. PLoS medicine. 2012;9(12):e1001356.
Dyer SJ, Patel M. The economic impact of infertility on women in developing countries – a systematic review. Fertility and Sterility. 2021;115(3):601-611.
Dubbewar A, Nath SK, Hiremath RN, Ghodke S, Gouru P, Yadav P. HSG with Laparoscopic Correlation in Infertility Patients: An Observational Study. Perspective of Recent Advances in Medical Research. 2023;11:15-23.
Thoma ME, McLain AC, Louis JF, King RB, Trumble AC, Sundaram R, Louis GM. Prevalence of infertility in the United States as estimated by the current duration approach and a traditional constructed approach. Fertility and sterility. 2013;99(5):1324-31.
Practice Committee of the American Society for Reproductive Medicine. Tubal evaluation in the infertility workup: A committee opinion. Fertility and Sterility. 2021;116(3): 410-415.
Ahmad A, Kumar M, Bhoi NR, Badruddeen, Akhtar J, Khan MI, Ajmal M, Ahmad M. Diagnosis and management of uterine fibroids: current trends and future strategies. Journal of Basic and Clinical Physiology and Pharmacology. 2023;34(3):291-310..
Smith S, Pfeifer SM, Collins JA. Diagnosis and management of female infertility. Jama. 2003;290(13):1767-70.

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